Individual
PHILIP D BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 UNIVERSITY PKWY, PENSACOLA, FL 32514-5752
(850) 471-0707
(850) 478-7377
Mailing address
PO BOX 30423, PENSACOLA, FL 32503-1423
(850) 471-0707
(850) 478-7377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME34300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009704180
—
AL
05
—
038166700
—
FL
01
—
050012460
RAILROAD MEDICARE
FL
01
—
17433
BLUE CROSS BLUE SHIELD
FL
01
—
59020293
BLUE CROSS BLUE SHIELD
AL
01
—
Z123
HEALTH FIRST NETWORK
FL
Enumeration date
05/31/2006
Last updated
06/09/2008
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